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Autumn 2009, Vol. 17 No. 3

Hong Kong J. Dermatol. Venereol. (2009) 17, 151-155


Case Report

Annular elastolytic giant cell granuloma presented with annular erythematous patches over the face and cheek in a Chinese lady

SKF Loo 盧景勳, LY Chong 莊禮賢, KC Lee 李景中

Abstract
A 76-year-old lady presented with asymptomatic annular erythematous patches with hypopigmented atrophic centres distributed over the sun-exposed area including the forehead and cheek. Histopathologic examination showed epithelioid granuloma with multinucleated giant cells. Elastophagocytosis was evident by the granuloma engulfing masses of elastic tissue. Verhoeff stain showed absence of elastic fibers in the upper and mid dermis. The clinicopathological features were suggestive of annular elastolytic giant cell granuloma.